1725 Ocean Grove ACRS19-0324 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0324
ISSUED: 9/19/2019
"L Dill,' CITY OF ATLANTIC BEACH EXPIRES: 3/17/2020
MUST CALL INSPECTION PHONE • 1 FOR •
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, • OF • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY,
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1725 OCEAN GROVE DR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 TON $4952.00
HVAC
TYPE OF
ZONING: :D •
CONSTRUCTION: GROUP:
1696110000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS:
Buehler Air Conditioning 207 20th ST N JACKSONVILLEBEACH FL 32250
OWNER. ADDRESS:
RUGGIERO JO ANN 1725 OCEAN GROVE DR ATLANTIC BEACH FL 32233-5844
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF • •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 45S-0000-322-1000 42000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
Issued Date: 9/19/2019 1 of 2
7
s)
Cash Register Receipt Receipt NumberCity of Atlantic Beach R10354
DESCRIPTION ACCOUNT • PAID
PermitTRAK $107.00
ACRS19-0324 Address: 1725 OCEAN GROVE DR APN: 169611 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL1 1 11
Date Paid: Thursday, September 19, 2019
Paid By: Buehler Air Conditioning
Cashier: CB
Pay Method: CREDIT CARD 6
Printed:Thursday,September 19, 2019 10:06 AM 1 of 1 �*
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 l _b3 Z`'t
JOB Aimlzrss: 1725 Ocean Grove Dr, Atlantic Beach, FL 32233 PERMIT #
PROJECT VALUE 554952 ..IRI r 10488249 REQUIRED
Air Handling Equipment Only x Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantit% Tons Per Unit
Heat: Unit QuantityBTU's Per Unit Seer Rating
Duct Systems: Total CFM . REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per knit Ston
Heat: Unit Quantity 1 BTU's Per I Init 42,000 Seer Rating 15
Duct Systems: Total CFM 0 REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantit\ (Requires 3 sets of plans)
Fire Standpipe Quantit' (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quandt\ (Requires 3 sets of plans)
Commercial Hoods Quandt' (Requires 3 sets of plans)
Fire Suppression Systems Quantit'\ (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty___ Automobile lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of'Outlets Pwnps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
PcnniI becomes void if"ork does not commence within a six month period or work is suspended or abandoned I'm ,i\ months.I hercb� certih that I have read
this application and know the same to he true and correct. All provisions of laws and ordinances governing this\%ork\+ill he complied with whether siiccilicd or
not. The permit does not give authority to\iolate the provisions of any other!;tate or local law regulation construction or the performance of construo i
Property Owners Name Jo Ann R-ug er-o Phone Number 904-923-7069
Mechanical Compan, Buehler Air Conditioning Office Phone _904-233-8831 I aN 904-485-8788
Co. Address: 207 20th Street N Cite Jacksonville Beach State FL /ih 32250 _
License Holder (Print): __ e Certification/Registration # SAC 1816716
Notarized Signature of License Holder
Before me this th day of Se tember _2019
�AV A KURT EICHMANN
` Notary public State of Florida Signature of Notary Public
Cornrniss on a GG 161633
orM1 _ My Comm.Expires Oct 15,1022
Bonded thro4j1h National Notary Assn.